Related links
Employee Claim (Form C-3) - Workers Compensation Board
If you need additional help completing this form, contact the Workers Compensation Board at 1-877-632-4996. You may also fill this form out online at wcb.ny.
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NYS Workers Compensation Board - Home Page - New York
Learn about employer coverage requirements for workers compensation, disability and Paid Family Leave, as well as your rights and responsibilities in the claim
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NEW YORK STATE APPLICATION FOR CERTAIN
If you wish to only apply for MA, you can go online at and/or call 1-855-355-5777 for more information or to apply,
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